KELLEY MIA WARWICK (NPI# 1962605436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962605436 |
| Entity Type | Individual |
| Full Name | KELLEY MIA WARWICK |
| Credential | MD |
| Practice Address |
1901 Sw H K Dodgen Loop Temple TX 76502-1814 |
| Mailing Address |
2211 Stratford Dr Temple TX 76502-3891 |
| Practice Telephone | 2547718600 |
| Mailing Telephone | 8326478180 |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2008-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | M6455 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 8X9735 | 01 |
| TX | 186374801 | 05 |
| Street Address |
1901 SW H K DODGEN LOOP |
| City | TEMPLE |
| State | TX |
| Zip Code | 76502-1814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982681177 | Robin Ann Weerts | Nurse Anesthetist, Certified Registered | 1901 Sw H K Dodgen Loop, Temple, TX 76502 | 2005-12-28 |
| 1205458296 | Connor Travis Larson | Nurse Anesthetist, Certified Registered | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2020-05-12 |
| 1285277061 | Charity Ann Driver | Nurse Practitioner | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2019-10-23 |
| 1780232223 | Ahmed Gamal Aquino | Counselor | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2019-08-28 |
| 1629620778 | Cristiane Rocha Krohn | Registered Nurse | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2019-07-09 |
| 1801356159 | Daniel Dvoskin | Student in an Organized Health Care Education/Training Program | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2019-03-22 |
| 1720546039 | Irma Valle | Nurse Anesthetist, Certified Registered | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2019-03-05 |
| 1316411200 | Jadon Kirven | Counselor | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2019-01-14 |
| 1801371414 | Chad Krumpholz | Physician Assistant | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2018-09-28 |
| 1629550983 | Hailey Marek | Occupational Therapist | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2018-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710850 | Bih Mobanoe Chi | Pharmacist | 6801 West Adams Avenue, Temple, TX 76502 | 2020-11-06 |
| 1639705403 | Robert David Pompella | Chiropractor | 4805 Stone Ridge Dr, Temple, TX 76502 | 2020-03-12 |
| 1275167488 | Luong Dental, LLC | Dentist | 5297 S. 31st Street, Ste 111, Temple, TX 76502 | 2020-02-26 |
| 1093357931 | Ryan T Stephens Dmd Pllc | Dentist | 5408 W. Adams Suite 102, Temple, TX 76502 | 2019-10-11 |
| 1164071817 | Danyelle Denise Pividori | Licensed Vocational Nurse | 992 Marlandwood Rd, Temple, TX 76502 | 2019-09-05 |
| 1831670652 | Jane Lida Jarosz | Registered Nurse | 99 Marlandwood, Temple, TX 76502 | 2018-08-29 |
| 1043791809 | Elsa Gamban Baker | Licensed Practical Nurse | 5711 Hopkins Dr, Temple, TX 76502 | 2018-08-28 |
| 1659859288 | Laura Bright | Licensed Vocational Nurse | 990 Marlanwood, Temple, TX 76502 | 2018-08-06 |
| 1811489974 | Rockdale Blackhawk, LLC | Clinic/Center | 1909 Sw Hk Dodgen Loop, Temple, TX 76502 | 2018-06-05 |
| 1871094573 | Moc Temple, LLC | Skilled Nursing Facility | 725 Marlandwood Rd., Temple, TX 76502 | 2018-02-27 |
| Find all providers in zip 76502 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831619709 | Elizabeth Katherine Lackey | Emergency Medicine | 2401 S 31st St # 11ag062, Temple, TX 76508-0001 | 2017-06-22 |
| 1962853770 | Express Er Temple, P.a. | Emergency Medicine | 1551 W. Central Avenue, Temple, TX 76504 | 2016-06-23 |
| 1326498320 | Garrett Fitzpatrick Frantz | Emergency Medicine | 2306 Kingsbury Drive, Temple, TX 76502-7303 | 2016-06-21 |
| 1023498318 | Caleb Cadis | Emergency Medicine | Dept of Emergency Medicine 2401 S 31st St, Ms-11-ag062, Temple, TX 76508-0001 | 2015-06-02 |
| 1821333469 | Bryce Gregerson | Emergency Medicine | Ms 11 Ag062 2401 South 31st St, Temple, TX 76508-0001 | 2012-12-08 |
| 1659647832 | Joshua L Houser | Emergency Medicine | Ms 11 Ag062, 2401 South 31st Street, Temple, TX 76508-0001 | 2012-04-01 |
| 1811216542 | Clayton Koontz Massey | Emergency Medicine | Scott & White, 2401 S. 31st St., Temple, TX 76508-0001 | 2010-05-20 |
| 1497913644 | Neeta Soorya Bhakta | Emergency Medicine | 2301 S 31st St, Temple, TX 76508-0001 | 2008-05-23 |
| 1417007758 | Michael M Thomas | Emergency Medicine | 7010 W Adams Ave Ste 200, Temple, TX 76502-5550 | 2007-01-11 |
| 1881781565 | Jerry Ray Baskerville | Emergency Medicine | 2003 W Avenue H, Temple, TX 76504-5256 | 2006-10-06 |
| Find all providers in TEMPLE | ||||
Please comment or provide details below to improve the information on KELLEY MIA WARWICK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.